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Reimbursement

By Susan Morse | 02:50 pm | October 17, 2017
This is despite seven NextGen ACOs having lost money, and three had dropped out in 2016 due to financial targets they said were set too high to earn savings.
By Liz Szabo, Kaiser Health News | 11:26 am | October 17, 2017
Total costs of Kymriah and 21 similar drugs in development - CAR T-cell therapies - will reach $1 million or more per patient, according to leading cancer experts.
By Susan Morse | 04:27 pm | October 16, 2017
Anthem Technology Center will create new capabilities to enhance the consumer healthcare experience, help improve quality and lower healthcare costs, insurer says.
By Susan Morse | 09:50 am | October 13, 2017
Insurers have said the move will destabilize the individual market and increase premiums by at least 20 percent.
By Susan Morse | 05:20 pm | October 11, 2017
New CEO Joseph Zubretsky has served top roles at The Hanover Insurance Group and with Aetna.
By Susan Morse | 04:09 pm | October 11, 2017
Overall, 73 percent of Medicare Advantage-PDP enrollees are in plans that have four stars or greater in 2018, CMS says.
By Susan Morse | 03:31 pm | October 11, 2017
For 2018, CMS updated its measures in adjusting three Part C measures for Medicare Advantage only and MA-prescription drug plans.
By Susan Morse | 02:56 pm | October 10, 2017
Physicians object to the policy they say will cause patients to delay seeking treatment and leave bills unpaid.
By Jeff Lagasse | 11:58 am | October 10, 2017
Smaller physician practices are particularly vulnerable to risk, and there are upfront costs to consider, too.
By Clay Masters, Kaiser Health News | 01:13 pm | October 09, 2017
In addition to the lawsuit, complaints about Medicaid from hospitals, doctors and patients have spiked in Iowa over coverage and payments.